2012 5K Run/Walk for Life in San Diego - Cardiovascular Disease Foundation

8/2/2019 2012 5K Run/Walk for Life in San Diego - Cardiovascular Disease Foundation

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SK Run/lttfaflk For [fifu@ & Srme ffimmmumf,W Health FairSunday, Apr$$ KS, kffififfi, ffimffi * [pmr

Seaport Village - Embarcadero Marina Park ruorth

849 West Harbor Drive San Diego, CA 92101,Adults - $2S After flWmrch KS - $RS K$ds eR & L$mdmr mre SRHHI

Active Suty ilMit$tary tine* Fmlice & their Fanrn[iies mre $X5

Register for the 5K Run/Walk or make a Donation: By Mail,By Phone - (760) 730-L47t or 888-249-9575 , at Event, or Online at:

April 15,2A12

Directions & Parking:From l-S-Take exit 17 to merge onto Front St.

toward Civic Center. Turn right ontoWest Market St. Turn right onto West Harbor Dr.

Make a U-turn at Pacific Highway.

Seaport Village will be on the right.

Event is Held in Rain or Shine!Sorry, No Dogs Allowed.

Funds raised henefree services an

programsthat teSan Diego Coun

residents ol all ahow to prevent

treat, and diagnoheart disease,

stroke, ond its r

factors.CVDF's Tax lD

Number: 0505360

& DONATTON FORM y:ffi 3ff:f:J#?i:J1,rak For Life

Cardiovascular Disease Foundation3088 Pio Pico Dr. Suite 202

Carlsbad, CA 92008

il mn]n: RunANalk Entry Fee - $20 $DAYTIME PHONE NUMBER

STATE ZIP rcDE

I

ttt T-Shirt size: S MLXLIIARMLESS AGREEMENT (ALL PARTICIPANTS MUST SICN): I acknowledge that this athletic event is an extreme test of a person's physical and mental limits and carries wit

theft or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Cardiovascular Dise

I understand its content.

After March {5 - $25 $

Donations Enclosed $

I won't be able to attend.My donation is enclosed. $

Total Enclosed $

DATE OF BIRTH

ADDRESS

18 vears old narent/gtrardian simatttre rectrited)



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NaLeader (if applies)

Email(Individuals can use form below to sign up sponsors.)

Tearn Member / Sponsor poiration AmountFirst & Last Name Address or Entry Fee

Team Meor Spon

$*rnmms, ,fepe'" &4mmtr F*xrc{$m $Rmdwec$u ffiwm& *}wums"atmp;$ ffimr"sfixeno mn"nd Lmngewt Temrm$xEach individual team member must register separately. Team Leader can collect for fees may be paid individually. Team leader must clreck-in his/her team and tur

form at the "Team Check-in Table," Fax form to (760) 730-0165 or email [email protected] Each team will receive a photo and be featured in the

CVDF newsletter and website.

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Sponsorship PackagesBronze Heart Sponsor $100 (with booth space $2S0)-Logo/name in program-VlP parking for exhibitors-Recognition from Emcee at event

Silver Heart Sponsor $350 (with booth space $S00)-All benefits above plus:

-Name/Logo on posters & 15,000 brochures-Thank you sign on course

Gold Heart Sponsor $700All benefits above plus:

on starl/fin ish

in press release

(with booth space $850)

banner

latinum Heart Sponsor $1,400 (with booth space $1,S50)benefits above plus:

booth locationon Commemorative T-Shift

Heart Sponsor $2,800booth space $3,000)

benefits above plus

in 3,000 newsletterswith link on website homepage for one year

on Social Networking Websites

Sponsorship Availablecontact our Executjve Director, Malrnda Engerer for

sponsorship benefits at. 76A-730-1471 x304

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xs$wew,-\Nm N,$s N mw & $. w- xs s* ;l rd lllwtl s*r* tr ll r ffi i se $ s* $r* u m ri rs tl * s*$

Please review the deadlines und complete the form on the buck,



Deadlines Vary, To Ensure Complete Recognition Email Logos ASAP

be formatted in illustrator with a full color and black & white versron

Please make checks payable to Walk For Life@. ln order to secure

the form below and mail with payment to CVD Foundation, 3OBB Pio

92008, Limited space available

to: [email protected] /og

sponsorship, please

Pico Dr Ste. 202, Carlsba

Event Rules & Hold Harmless Agreement:Ishall

comply with all rules and regulations of the City and Porl of San Diego. I will be

sponsible for setting up and removing-my display I shall indemnify, hold harmless and defend the City and Port of San Diego CVDF

lorganizer of ttre ErTeni) and their tujp""iiuu officers drrectors, volunteers, agents, employees and contractors, against any and all costs

iiuU]titi". of any kind (including attorneys' fees) which they incur because of my use or occupancy of the space, or as a consequence of m

piomotion of any proOr.t or service. I will maintain comprehensive or commercial general liability insurance covering all operations during

Event. I acknowledge that this event carries with it the potential for death, serious injury and property loss. The risks include, but are not

iteO to, those caused by terrain, facilities, temperature, weather, equipment, vehicular tralfic, actions of other people including, but are not

timiteO to, participants, volunteers, spectators, event official, and/or producers of the event, and lack of hydration. These risks are not onl

inl"i"nt io seruice providers, exhrbitors, but are also present for volunteers. I hereby assume all of the risks of participating and/or volun

i ing in this event. I iealize that liability may arise for negligence or carelessness on the parl of the persons or entities being released, from

i oJng"rou. or defective equipment oi property owned, maintained or controlled by them or because of their possible liabillty without fault.

,certitythat lam physicallyfii for participaiionin the event and have not been advised otherwise by a qualified medical person. lacknowle

i that t'he Hold Harmiess Agreement form will be used by the event holders, sponsors and organizers of the event in which I may participate

iand that it will govern my"actions and responsibilities ai said event. ln consideration of my application and permitting me to participate in

i"u"ni, Lr.1"r"uy"tage actibn for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive Re

Lur" unJoii6r.r.irgu from any uno att tia'oitity for my death, disability, personal injury, property damage, property t!"_1o_t actions of any kini *f,1ilf,1 miy nereat6r occur to me including my trav;ling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Cardiovascu

, pir""r"EornOution, City and port of San oiego, their directors, officers, employees, volunteers, representatives, and agents, the event h

iers, event rponsorr, eu"nt volunteers; (B) lndemnify and Hold Harmless the entities or persons mentioned in this paragraph from any an

, f iul'-if iti"r or claims made as a result of participation in this event, whether caused by negligence of releases or otherwise' I hereby consen

i receive medical treatment which my be deemed advisable in the event of injury, accident and/or illness during this event. I understand th

ir"V O" pnotographeO. lagree to allow !y photo video orfilm likeness to be used for any legitimate purpose by the event holders, produ

i ers, sponsors, organrzers ind assigns. The Accjdent Waiver and Release of Liability shall be construed broadly to provide a release and

: walver to the maximum extent perriissible under applicable law. I hereby certify that I have read this document: and, I understand its con

Sponsor Amount: $ Bringing Own 10X10 Tent? Yes

Name of Company Sponsor:

No

Sponsor Representative and Title:

Address:

Phone:

Email:

Signature:

Fax:

Date:

Documents

2012 5K Run/Walk for Life in San Diego - Cardiovascular Disease Foundation